NPR Report Request Form Elements

1) Report Title
2) Priority on a 10 scale.
3) Facility
4) Service Line / Department
5) Contact Information for Point Person on Requesting Side
6) Hard copy of form or report you use now? Screen Shots? Mockup/
7) Report Purpose
8) Report Description
9) Report Criteria / Sort Criteria / Data Elements / Applications
10) Report Scheduling (daily,weekly,monthly)
11) Does the report need subtotals, totals or summary information?
12) Submission Date
13) Date report is needed.
14) Date report request is submitted.